You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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HRP-1041A-S | Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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GCI-1086A | A Family's Guide to Funding Early Intervention Services in Arizona | 08/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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GCI-1086A-S | Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
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DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
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CSE-1284A | Parent’s agreement to be bound by genetic test results (Eng/Spa) | 02/01/2018 |
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DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
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CSA-1070A | Domestic Violence Housing Intervention Performance Measures | 02/01/2018 |
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PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
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DDD-1692A | Prevention and Support Instructor Recertification Packet (English) | 01/01/2018 |
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WIO-1061A | Training Provider Monitoring Tool | 01/01/2018 |
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LCR-1040A | Health Self-Disclosure | 01/01/2018 |
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WIO-1061B | Training Program Monitoring Tool | 01/01/2018 |
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